Epidemiological and control aspects of schistosomiasis in Brazilian endemic areas

The present work analyzes the epidemiology of schistosomiasis in Brazil, its expansion, the attempts to control the disease, and the overall difficulties. The authors present the distribution of schistosomiasis intermediary hosts in Brazil, the migration routes of the human population, and disease d...

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Main Authors: JR Coura, RS Amaral
Format: Article
Language:English
Published: Fundação Oswaldo Cruz (FIOCRUZ) 2004-08-01
Series:Memorias do Instituto Oswaldo Cruz
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762004000900003
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author JR Coura
RS Amaral
author_facet JR Coura
RS Amaral
author_sort JR Coura
collection DOAJ
description The present work analyzes the epidemiology of schistosomiasis in Brazil, its expansion, the attempts to control the disease, and the overall difficulties. The authors present the distribution of schistosomiasis intermediary hosts in Brazil, the migration routes of the human population, and disease distribution in highly and lowly endemic areas and isolated foci. They also analyze the controlling programs developed from 1977 to 2002, indicating the prevalence evolution and the reduction of disease morbi-mortality. In addition, the authors also evaluate controlling methods and conclude that: (a) no isolated method is able to control schistosomiasis, and every controlling program should consider the need of a multidisciplinary application of existing methods; (b) in long term, basic sanitation, potable water supply, as well as sanitary education, and community effective participation are important for infection control; (c) in short term, specific treatment at endemic areas, associated with control of intermediary hosts at epidemiologically important foci, are extremely relevant for controlling disease morbidity, although not enough for interrupting infection transmission.
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spelling doaj.art-b17022ccebe1443aa82ddaf68141f3a82023-09-02T16:25:39ZengFundação Oswaldo Cruz (FIOCRUZ)Memorias do Instituto Oswaldo Cruz0074-02761678-80602004-08-0199131910.1590/S0074-02762004000900003Epidemiological and control aspects of schistosomiasis in Brazilian endemic areasJR CouraRS AmaralThe present work analyzes the epidemiology of schistosomiasis in Brazil, its expansion, the attempts to control the disease, and the overall difficulties. The authors present the distribution of schistosomiasis intermediary hosts in Brazil, the migration routes of the human population, and disease distribution in highly and lowly endemic areas and isolated foci. They also analyze the controlling programs developed from 1977 to 2002, indicating the prevalence evolution and the reduction of disease morbi-mortality. In addition, the authors also evaluate controlling methods and conclude that: (a) no isolated method is able to control schistosomiasis, and every controlling program should consider the need of a multidisciplinary application of existing methods; (b) in long term, basic sanitation, potable water supply, as well as sanitary education, and community effective participation are important for infection control; (c) in short term, specific treatment at endemic areas, associated with control of intermediary hosts at epidemiologically important foci, are extremely relevant for controlling disease morbidity, although not enough for interrupting infection transmission.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762004000900003schistosomiasisepidemiology and controlBrazil 1977-2002
spellingShingle JR Coura
RS Amaral
Epidemiological and control aspects of schistosomiasis in Brazilian endemic areas
Memorias do Instituto Oswaldo Cruz
schistosomiasis
epidemiology and control
Brazil 1977-2002
title Epidemiological and control aspects of schistosomiasis in Brazilian endemic areas
title_full Epidemiological and control aspects of schistosomiasis in Brazilian endemic areas
title_fullStr Epidemiological and control aspects of schistosomiasis in Brazilian endemic areas
title_full_unstemmed Epidemiological and control aspects of schistosomiasis in Brazilian endemic areas
title_short Epidemiological and control aspects of schistosomiasis in Brazilian endemic areas
title_sort epidemiological and control aspects of schistosomiasis in brazilian endemic areas
topic schistosomiasis
epidemiology and control
Brazil 1977-2002
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762004000900003
work_keys_str_mv AT jrcoura epidemiologicalandcontrolaspectsofschistosomiasisinbrazilianendemicareas
AT rsamaral epidemiologicalandcontrolaspectsofschistosomiasisinbrazilianendemicareas